<h3>{headline}</h3>
<form action="{form_action}" method="post">
    <input type="hidden" name="return" value="true" />
    <label for="username">{label_name}</label> <input type="text" id="username" name="username" />
    <br />
    <label for="password">{label_pass}</label> <input type="password" id="password" name="password" />
    <br />
    <input id="loginBtn" type="submit" name="login" value="{label_login}" />
</form>